Mr Oliver A Quayle, LIC PSY MA & LCMHC is a
Psychologist - Counseling based in St Albans, Vermont. Mr Oliver A Quayle is licensed to practice in Vermont (license number 047-0000664) and his current practice location is
107 Fisher Pond Rd, St Albans, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 524-6555.
NPI number for Mr Oliver A Quayle is 1366417511 and his current mailing address is 322 Terrace Dr, Williston, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366417511.
Healthcare Provider's Profile
| Full Name | Mr Oliver A Quayle |
|---|
| Gender | Male |
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| Speciality | Psychologist - Counseling |
|---|
| Location | 107 Fisher Pond Rd, St Albans, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366417511
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Oliver A Quayle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366417511 | NPI | - | NPPES |
| 357569 | Other | VT | MHN |
| 1007192 | Medicaid | VT | |
| 29870 | Other | VT | BCBS |
| CIGNA | Other | VT | 2052639 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 047-0000664 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Oliver A Quayle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Oliver A Quayle, LIC PSY MA & LCMHC
322 Terrace Dr,
Williston, VT 05495-2130
Ph: (802) 878-6355 | Mr Oliver A Quayle, LIC PSY MA & LCMHC
107 Fisher Pond Rd,
St Albans, VT 05478-6286
Ph: (802) 524-6555 |
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